RESUMEN

Primary small bowel neoplasms at the ligament of Treitz are extremely rare and require advanced surgical technique for extirpation. The insidious onset of disease allows for a delayed presentation, often accompanied by moderate-size growth of the neoplasm, causing intestinal bleeding and bowel obstruction. The partial retroperitoneal location of these tumors pose a unique challenge for surgical resection. We present an unusual case of a primary small bowel adenocarcinoma at the Ligament of Treitz, requiring segmental resection of the fourth portion of the duodenum plus the proximal jejunum.

Asunto(s)

Adenocarcinoma/cirugía , Anastomosis Quirúrgica/métodos , Neoplasias Duodenales/cirugía , Neoplasias del Yeyuno/cirugía , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/patología , Neoplasias Duodenales/diagnóstico por imagen , Neoplasias Duodenales/patología , Humanos , Neoplasias del Yeyuno/diagnóstico por imagen , Neoplasias del Yeyuno/patología , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Resultado del Tratamiento